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Unusual Presentation of Postoperative Intussusception in Two Infants.
Lavanya Kannaiyan1, Harish Jayaram1, Mainak Deb1
1Department of Pediatric Surgery, Rainbow Children's Hospital, Hyderabad, Telangana, India.
Journal of Indian Association of Pediatric Surgeons
|October 14, 2022
Summary
Two infants developed intussusception after surgery for bowel stricture caused by necrotizing enterocolitis. Diagnosing this rare condition requires a high index of suspicion due to unusual clinical signs.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Medicine
Background:
- Necrotizing enterocolitis (NEC) is a severe gastrointestinal condition in neonates.
- Strictures can develop as a complication of NEC, often requiring surgical intervention like stoma formation.
- Postoperative complications following NEC treatment can be challenging to manage.
Observation:
- Two infant cases presented with intussusception after undergoing stoma formation for bowel stricture.
- The clinical presentation in these cases was atypical, deviating from classic intussusception symptoms.
- A high index of suspicion is crucial for timely diagnosis in such unusual presentations.
Findings:
- Postoperative intussusception is a rare but serious complication following stoma formation in infants with NEC-induced strictures.
- The unusual clinical features observed underscore the diagnostic challenges.
- Early recognition and intervention are critical for favorable outcomes.
Implications:
- This case report highlights the importance of considering intussusception in infants with a history of NEC and stoma formation, even with atypical symptoms.
- Clinicians should maintain a high index of suspicion for this complication.
- Further research may elucidate specific risk factors and optimal diagnostic strategies for postoperative intussusception in this vulnerable population.
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